預約診症

23歲老貓心臟病?有得醫!

當高齡毛孩發病,最重要是及時就醫,得到準確又有效的診斷。透過今期真實案例,見證23 歲老貓如何成功控制心臟病病情,恢復穩定生活!

高齡貓 + 心臟病 = ?

好多主人會擔心貓貓年紀越大,生病的時候就越難醫。年齡固然是決定醫療方案的重要因素,但其實只要適時介入診治,高齡老貓依然可以跨越病痛。

以下分享23歲Dan Dan的個案,讓大家看看牠如何由心臟病引發抽筋到恢復穩定生活。

毛孩檔案

名字:Dan Dan
物種:家貓
年齡:23 歲

發病前狀態:

  • 屬於高齡貓
  • 在家中正常生活
  • 無長期心臟病病歷
  • 日常飲食、排泄基本穩定

「幾歲先叫高齡貓?」

其實貓貓由七歲開始就已經是高齡。雖然年紀越大,越需要特別照顧,但高齡並不等於無得醫!

病發初期:表面抽筋 未知病因

Dan Dan於19歲左右第一次出現抽筋症狀。當時,Dan Dan大約每個月抽筋一次,有時候更會短暫失去意識。

表面看來,抽筋似乎與癲癇或腦部問題有關,當時亦未出現呼吸困難等其他迫切症狀。

病情升級:抽筋更頻 呼吸困難

四年後,Dan Dan已經年過20,情況開始轉壞。

Dan Dan的抽筋頻率增加至一星期三至四次,呼吸頻率亦明顯加快,加上Dan Dan年時已高,令主人非常擔心。

呼吸異常是非常危險的信號,促使主人加快就診,而獸醫的診斷方向更     轉向心肺系統評估。

病情加劇:加快診斷 即時治療

一星期後,Dan Dan病情急劇惡化,一日抽筋三至四次,更有明顯呼吸困難,需要即時介入治療。

徹底檢測:雙管齊下 找出根源

獸醫為Dan Dan安排心臟超聲波及X光檢查。

心臟超聲波發現Dan Dan 已患有末期肥厚型心肌病(End-stage Hypertrophic Cardiomyopathy),而X光則顯示Dan Dan胸腔內出現大量積液(胸水),屬於心臟衰竭引起的併發症。

報告顯示Dan Dan的心臟結構已出現不可逆轉的改變,心房嚴重擴大,心臟長期負荷過重,並進入衰竭階段。此外,超聲波更發現「煙霧狀血流」,代表高度血栓風險——種種跡象都表示Dan Dan的生命危在旦夕

什麼是末期肥厚型心肌病?

簡單來說,心臟肌肉變得肥厚,使心室空間變小,心室血液可能逆流到心房,心房擴大且壓力上升。末期亦即C 期心臟病,意味著已出現心臟衰竭的臨床症狀(如胸水、呼吸困難)。

心臟病分期

  • A 期
    容易發病的品種貓
    但心肌尚未肥厚
  • B 期
    超聲波下可見左心室壁開始肥厚
    但無心衰竭症狀
  • B1 期
    輕微心肌肥厚
    左心室大小正常或稍大
  • B2 期
    嚴重心肌肥厚
    左心室中重度擴大
  • C 期
    有心肌病
    現在有或曾經有過心衰竭或血栓的臨床症狀
  • D 期
    藥物難以控制的心衰竭

心臟病:非典型表象混淆視聽

光憑抽筋一個症狀未能幫Dan Dan找出問題所在,後來因為出現呼吸問題而改變追查方向,透過心臟超聲波終於發現問題源於心臟,可以開始進一步治療。

為解除生命威脅,Dan Dan即時接受了胸腔穿刺,共抽出約 80cc 透明胸腔積水,呼吸狀態即時改善,證明治療方向正確。

注意!

當發現胸腔積水,必須即時進行胸腔穿刺。這並非針對心肌病的     治療措施     ,而是解除生命威脅的必要方案。

治療前 X 光影像
可見胸腔內出現明顯軟組織密度增加,肺葉受壓,屬於大量胸腔積水(Pleural Effusion)表現,這正是導致呼吸困難的主要原因。
治療後 X 光(胸水抽出後)
與治療前相比,可見胸腔內白色液體密度大幅減少,肺部黑色含氣區域重新出現。這代表肺部重新擴張,呼吸壓力解除。

有效治療 病情穩定

術後,Dan Dan已無即時生命危險,後續配合用藥控制病情,終於恢復穩定生活。

用藥策略

  • 利尿藥:控制體液
  • 心臟藥物:支援心臟泵血功能
  • 薄血藥(Clopidogrel):預防致命血栓
  • 抗抽筋藥物:重新評估與調整劑量

在Dan Dan情況穩定後,主人依然定期複診,以持續監察病情。Dan Dan的肺部影像恢復清晰,呼吸頻率回復正常,腎功能指標維持於可接受範圍,亦無再抽筋,證明用藥方案有效。

目前,Dan Dan 於家中恢復快樂老貓的日常生活,每日可自行進食、飲水,排泄正常,意識亦清醒——此狀態屬於「臨床穩定」。

病情穩定非偶然 醫療決策定轉機

擔心家中老貓的健康?朗晴動物醫院配備完善設備和專業獸醫團隊,能因應毛孩年齡為牠們進行安全、舒適且全面的身體檢查。如有任何需要或疑問,歡迎來電諮詢與預約。

電話查詢及預約:2123 9206
網上預約:https://www.swanstonvet.com/#Booking
地址:元朗安寧路38號世宙9號舖
營業時間:星期一到星期日10am - 8pm

Can I change my reservation?

Some plans and bookings made through specific channels are unchangeable. Please contact us for details on +81 92 844 8111.

Do you serve halal food?

Available upon request. Please let us know when making a reservation.

Is there a dress code for the restaurant?

Please refrain from wearing tank tops, flip-flops and slippers.

Are vegetarian dishes available in restaurants?

Available upon request. Please let us know when making a reservation.

Are children allowed in the restaurant?

All the restaurants except the bar on the top floor are children-friendly. CLOUDS Bar & Dining is children-friendly until 6pm but exclusive to adults after 6pm. Seala Brasserie and Lounge on 4F is the most popular restaurant among the families as there is a dedicated kids corner with kids menu.

What's the cancellation policy?

Cancellation made by two days prior to the booked date won’t be charged.

Cancellation on the previous day: 20% of room charge.

Cancellation on the day: 100% of room charge.

No-show: 100% of room charge.

Can I smoke in the room?

6-14F, 17-26F and 29-33F are non-smoking floors.

If you prefer non-smoking rooms, please let us know at the time of booking. Please note that non-smoking rooms are based on availability.All the restaurants are non-smoking.

Can I bring a pet?

We have a dog-friendly plan. Dog that can stay with guest per room is limited to one small-breed dog whose weight is 10kg or less. We have terms and conditions for the dog-friendly plan which requires your signature for approval in advance.

Is there a dress code for the restaurant?

Please refrain from wearing tank tops, flip-flops and slippers.

Are children allowed in the restaurant?

All the restaurants except the bar on the top floor are children-friendly. CLOUDS Bar & Dining is children-friendly until 6pm but exclusive to adults after 6pm. Seala Brasserie and Lounge on 4F is the most popular restaurant among the families as there is a dedicated kids corner with kids menu.

Do you have bicycles for rent?

Yes, we have rental bicycles on the 1st floor. You need a credit card to use a bicycle.

Can you arrange a rental car?

Yes, please contact the bell desk on 4F.

Is there laundry service?

Yes.

Drop-off 8:00 AM - 11:00 AM → Delivery 6:00PM

Drop-off 11:00AM- 5:00PM → Delivery 10:00AM next morning.

For more details regarding specific items and prices, please refer to the laundry slipplaced in the room.

What time is check-in/check-out?

Early check-in is possible based on availability. Late check-out is possible based on availability. Please let us know your request in advance. You can check-in late at night but please let the front desk know if you are checking in after 10:00 PM.

Do you have a shuttle bus?

Complimentary shuttle bus between Hilton Fukuoka Sea Hawk and the nearest subway station XXX is available for the guests on weekends and holidays, between 10:00am and 7:00 pm running every 20 minutes.

Can you arrange a rental car?

Yes, please contact the bell desk on 4F.

Do you have bicycles for rent?

Yes, we have rental bicycles on the 1st floor. You need a credit card to use a bicycle.

Is there parking?

Hotel guest can use the parking lot for XXX per day per vehicle (until 24:00 of the departure day). Customers who spend more than XXX in restaurant can park for 2 hours free of charge. Please bring your parking ticket when settling the bill. Parking fee for other customers is XXX for up to 1 hour and after that XXX will be added per every 30 minutes. If you park more than 2 hours, XXX will be added to the total amount. *For example, the parking fee will be XXX if you park for 2 hours 50 minutes.

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